{"id":30016,"date":"2022-01-09T17:45:38","date_gmt":"2022-01-09T23:45:38","guid":{"rendered":"https:\/\/wholehealthchicago.com\/blog\/?p=30016"},"modified":"2022-11-14T13:48:23","modified_gmt":"2022-11-14T19:48:23","slug":"root-causes-of-chronic-fatigue-part-11-your-sluggish-liver","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2022\/01\/09\/root-causes-of-chronic-fatigue-part-11-your-sluggish-liver","title":{"rendered":"Root Causes of Chronic Fatigue, Part 11: Your Sluggish Liver"},"content":{"rendered":"\n<p>Spread your left hand across your upper abdomen. Beneath it lies your liver, the largest organ in your body. Liver metabolism is so complex that the late <a href=\"https:\/\/fanaticcook.com\/2020\/04\/23\/lewis-thomas-i-am-considerably-less-intelligent-than-my-liver\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">medical essayist Lewis Thomas, MD, wrote<\/a> \u201cNothing would save me and my liver if I were in charge\u2026for I am considerably less intelligent than my liver.\u201d<\/p>\n\n\n\n<p>And yet until this very moment you might not have given your liver much consideration. That\u2019s because it\u2019s so good at its job that it rarely tells you that something might be wrong.<\/p>\n\n\n\n<p>But there is one warning symptom that something might be amiss with your liver and that is fatigue.&nbsp;<\/p>\n\n\n\n<p>Although the common liver tests (<a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/liver-function-tests\/about\/pac-20394595\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">among them ALT and AST<\/a>) are included in the metabolic profile done during routine blood tests, they often return completely normal results while deep inside your liver is behaving sluggishly.<\/p>\n\n\n\n<p>Your liver has three major functions: detoxification, metabolism, and storage. Each is essential.<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\">Detoxification<\/span> is exactly what it sounds like. All the toxic chemicals you come in contact with&#8211;from inhaled diesel fumes and the chemicals that lace processed foods to prescription and recreational drugs, including your vodka martini, and even the Omicron variant you just inhaled&#8211;are carried into the liver\u2019s blood supply (this remarkable organ processes 1.5 quarts a minute or 25% of our cardiac output) and then deactivated, rendered harmless, and excreted. This is what happens when your liver is working correctly.<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\">Metabolism<\/span>: At the same time that it\u2019s busy detoxifying, your liver is at work metabolizing, which is to say \u201cmaking things.\u201d It converts fat to energy, glucose to fat, and fat to phospholipids. It manufactures albumin, globulin, bile for digestion, cholesterol for sex hormones, and a whole lot more.<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\">Storage<\/span><strong>: <\/strong>Inside your liver are stored reserves of energy (saved as glycogen), vitamins (A, D, and B-12), and iron.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><meta charset=\"utf-8\"><strong>Sluggish liver<\/strong><\/h3>\n\n\n\n<p>The term sluggish liver is taken from Functional Medicine. I learned nothing about it in medical school. As fledgling doctors, we learned about liver diseases like hepatitis, fatty liver, cirrhosis, and liver cancers. But sluggish liver was not part of the curriculum.<\/p>\n\n\n\n<p>You get sluggish liver by not paying attention to your health and well-being. It\u2019s caused by chronic, low-level neglect catching up to you.<\/p>\n\n\n\n<p>The symptoms of sluggish liver are vague and patients often see a variety of specialists who treat the symptoms but never get to the root cause. Here are the top symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fatigue, sluggishness, listless, restlessness, and apathy.<\/li><li>Depression &nbsp;Mood swings, PMS, anxiety, irritability, and poor focus and concentration.<\/li><li>Food and chemical sensitivities &nbsp;Nausea, weight problems, breath issues, bloating, high-fat food intolerances, bitter taste, constipation, excessive gas, and GERD (heartburn).<\/li><li>Skin problems<strong> <\/strong>&nbsp;Dry skin, acne, itching, excessive sweating,&nbsp; peeling, and hair loss.<\/li><li>Muscle and joint aches.<\/li><\/ul>\n\n\n\n<p>What you can see immediately from this list is that people with sluggish liver feel generally unwell day to day, often for months. In between appointments with specialists, or waiting to be scheduled for various diagnostic tests (all negative), the period of not feeling well stretches on. Finally, you might hear the inevitable: \u201cMaybe you\u2019re just depressed.\u201d<\/p>\n\n\n\n<p>If, while reading this Health Tip, you were wondering if you have a sluggish liver, consider this. If you feel great, if you\u2019re energetic, active, and take good care of yourself, eating a healthy whole-food diet, keeping your alcohol intake moderate and your sugar\/refined grains to a bare minimum, and taking a few carefully selected nutritional supplements, my answer is \u201cYou\u2019re just fine.\u201d<\/p>\n\n\n\n<p>Patients with a sluggish liver simply don\u2019t feel well.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><meta charset=\"utf-8\"><strong>Diagnosing sluggish liver<\/strong><\/h3>\n\n\n\n<p>As I mentioned, most of the time liver function tests are normal. Your liver has a remarkable capacity to keep going even under dire conditions.<\/p>\n\n\n\n<p>Over the years, various tests measuring your liver\u2019s detox capacity have come and gone, but none has ever been so reliable as simply undergoing your own personal detoxification and seeing how you feel afterwards. Here\u2019s a sentence that clinches the diagnosis of sluggish liver: \u201cI did a detox. It was really tough at first, but when it was over I felt as good as I\u2019ve ever felt in my life.\u201d<\/p>\n\n\n\n<p>For those interested in the history of medicine, the concept of detoxification actually goes back hundreds of years, following then the same basic principles as it does today. You free your body of \u201cdisturbing elements\u201d (toxins) while feeding it good balancing habits, healthful foods, nutritional supplements, and low stress.<\/p>\n\n\n\n<p>One of the most famous detox centers was up in Battle Creek, MI, <a href=\"https:\/\/www.indiebound.org\/book\/9780307907271\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">founded by John Kellogg, brother of the cereal magnate.<\/a> Today, there are dozens around the world. We call them spas.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><meta charset=\"utf-8\"><strong>Treatment<\/strong><\/h3>\n\n\n\n<p>The best detoxification products are the Ultra Clear family formulated by the <a href=\"https:\/\/jeffreybland.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Father of Functional Medicine Jeffrey Bland, PhD<\/a>.<\/p>\n\n\n\n<p>I\u2019ve been recommending UltraClear products for more than 25 years, though I admit I was a bit put off by their original advertising logo\u2014the UltraClear banner drawn flying above what appeared to be downtown Gary, Indiana, complete with towering smokestacks. The banner read, \u201cYou need UltraClear!\u201d<\/p>\n\n\n\n<p>You can start with a ten-day detoxification, called <a href=\"https:\/\/whcstore.vitogenix.com\/product\/metagenics-clear-change-28-day-program-with-ultraclear-renew-vanilla\/500\" target=\"_blank\" rel=\"noreferrer noopener\">Clear Change.<\/a> However, if you have a lot of symptoms and you think your liver is especially sluggish, you could go for the full <a href=\"https:\/\/whcstore.vitogenix.com\/product\/metagenics-clear-change-28-day-program-with-ultraclear-renew-vanilla\/500\" target=\"_blank\" rel=\"noreferrer noopener\">Clear Change 28-day Day Program<\/a>, though a 28-day detox is challenging.<\/p>\n\n\n\n<p>By the time you\u2019ve completed your detox, however long, you will have learned a great deal about healthful eating. Both the ten- and 28-day Clear Change programs contain menu plans and shopping guides. You\u2019ll learn to make good choices from these, but it\u2019s also helpful to schedule an appointment with <a href=\"https:\/\/wholehealthchicago.com\/about\/becca-zachwieja\" target=\"_blank\" rel=\"noreferrer noopener\">Becca Zachwieja<\/a>, our nutritionist.<\/p>\n\n\n\n<p>Afterwards, for maintenance, I recommend starting two supplements: <a href=\"https:\/\/whcstore.vitogenix.com\/product\/integrative-therapeutics-detoxication-factors-60c\/277?cp=true&amp;sa=false&amp;sbp=false&amp;q=true\" target=\"_blank\" rel=\"noreferrer noopener\">Detoxication Factors<\/a> and <a href=\"https:\/\/whcstore.vitogenix.com\/product\/integrative-therapeutics-lipotropic-complex-90-count\/478?cp=true&amp;sa=false&amp;sbp=false&amp;q=true\" target=\"_blank\" rel=\"noreferrer noopener\">Lipotropic Complex<\/a>, both by Integrative Therapeutics. Take one of each twice daily. These two products contain herbs, vitamins, and amino acids formulated to support all aspects of healthy liver function.<\/p>\n\n\n\n<p>Your liver will be deeply appreciative and your sluggish liver will be history.<\/p>\n\n\n\n<p>Be well,<\/p>\n\n\n\n<p>David Edelberg, MD<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Spread your left hand across your upper abdomen. Beneath it lies your liver, the largest organ in your body. Liver metabolism is so complex that the late medical essayist Lewis Thomas, MD, wrote \u201cNothing would save me and my liver if I were in charge\u2026for I am considerably less intelligent than my liver.\u201d And yet [&hellip;]<\/p>\n","protected":false},"author":2087,"featured_media":30020,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2302,2316,2333,2315,2314],"tags":[340,41,175,2303,36],"class_list":["post-30016","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chronic-fatigue","category-featured","category-functional-medicine","category-most-comments","category-most-view","tag-chronic-fatigue-syndrome","tag-detox","tag-fatigue","tag-sluggish-liver","tag-stress"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>Root Causes of Chronic Fatigue, Part 11: Your Sluggish Liver<\/title>\r\n<meta name=\"description\" content=\"You get sluggish liver by not paying attention to your health and well-being. 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